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PRINTED: 03/07/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CRANBERRY GROUP HOME (X4) ID
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Obtain an application form from the cranberry group home facility.
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Fill out the application form with accurate information about the potential resident.
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Submit the completed application form to the cranberry group home for review.

Who needs cranberry group home?

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Individuals who require specialized care and support due to physical, mental, or developmental disabilities.
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Cranberry group home is a residential facility that provides housing and support services for individuals with disabilities or special needs.
The owner or operator of the cranberry group home facility is required to file.
To fill out the cranberry group home form, you must provide information on the facility, residents, staff, services provided, and any incidents that occurred.
The purpose of cranberry group home is to provide a safe and supportive living environment for individuals who require assistance with daily activities.
Information such as the number of residents, type of disabilities, staff qualifications, services provided, and incident reports must be reported on the cranberry group home form.
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